NBCE Part I study materials
NBCE Part I study resources

NBCE Part I study plan

NBCE Part I · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

General Anatomy & Spinal Anatomy

  • Label every major bone, fossa, foramen, and articulation of the axial and appendicular skeleton on a blank diagram from memory

  • Trace origin, insertion, action, and innervation for the major muscle groups of the upper limb, lower limb, and trunk

  • Map vertebral osteology segment by segment from C1 through the sacrum, distinguishing typical from atypical vertebrae

  • Define each spinal ligament and list the spinal curvatures with the structures that produce and maintain them

Your checkpoint

Closed-book labeling quiz: 40 structures on a blank skeleton plus 25 on a blank vertebral column diagram, scored at 85% or better with all misses rewritten correctly

Week 2

Spinal Anatomy & Physiology

  • Trace each major ascending and descending spinal tract, stating its decussation level and the deficit produced by a lesion at that level

  • Describe the arterial supply of the spinal cord and predict the clinical consequence of occluding each named artery

  • Explain resting membrane potential, the phases of the action potential, and saltatory conduction without notes

  • Compare somatic and autonomic reflex arcs and map sympathetic and parasympathetic outflow levels to their target organs

Your checkpoint

Hand-drawn labeled cross-sections of the spinal cord at cervical, thoracic, and lumbar levels with 10 annotated pathways or structures each, corrected to 100%

Week 3

Physiology & Chemistry

  • Summarize the cardiac cycle and pressure-volume loop, and list the determinants of cardiac output and stroke volume

  • Diagram each nephron segment and predict how ADH, aldosterone, and ANP change urine volume and concentration

  • Solve acid-base problems using Henderson-Hasselbalch and compensation rules, and classify each result as respiratory or metabolic

  • Apply the gas laws and Michaelis-Menten/Lineweaver-Burk kinetics to numerical problems

Your checkpoint

Timed 20-question problem set on acid-base, renal, and gas-law calculations scored at 80% or higher, with every missed item rewritten as a corrected explanation

Week 4

Chemistry & Pathology

  • Distinguish organic functional groups and predict products of the major reaction classes: substitution, elimination, oxidation, and condensation

  • Outline glycolysis, the TCA cycle, and oxidative phosphorylation, naming rate-limiting enzymes and their regulators

  • Classify cell injury, necrosis subtypes, and apoptosis and match each to its underlying mechanism

  • Sequence the inflammatory response and phases of wound healing, naming the mediators active at each step

Your checkpoint

100-question cumulative timed exam over Domains 1-5, scored at 70% or higher overall and 65% or higher in every domain, with an error log sorted by domain

Week 5

Pathology & Microbiology and Public Health

  • Differentiate the major pathologic processes - neoplasia, hemodynamic, immunologic, and genetic - by mechanism and morphology

  • Classify pathogenic bacteria by Gram stain, morphology, oxygen requirement, and key virulence factor

  • Contrast innate and adaptive immunity, name immunoglobulin classes and their functions, and match hypersensitivity types to examples

  • Interpret public health measures: incidence versus prevalence, sensitivity/specificity/predictive values, and the appropriate study design for an outbreak

Your checkpoint

A from-memory comparison table covering 60 organisms and 25 diseases, verified against notes with every discrepancy logged and corrected

Week 6

Microbiology and Public Health & Physical Diagnosis

  • Identify high-yield viruses, fungi, and parasites along with the classic disease each produces

  • Summarize sterilization and disinfection levels and list the diseases that require public health reporting

  • Describe the sequence of a complete physical exam region by region using inspection, palpation, percussion, and auscultation

  • Interpret abnormal vital signs, heart and lung sounds, and abdominal findings, and list differential causes for each abnormality

Your checkpoint

A recorded 15-minute mock physical exam checked against a 50-item technique and interpretation rubric, scoring at least 90%

Week 7

Physical Diagnosis & Neuromusculoskeletal Diagnosis (regional, orthopedic, neurologic)

  • Select and sequence the correct orthopedic test for each joint complaint and name the structure each test stresses

  • Perform a neurologic screen of dermatomes, myotomes, deep tendon reflexes, and pathologic reflexes and localize the lesion from the findings

  • Distinguish upper from lower motor neuron patterns and radicular from myelopathic presentations

  • Correlate 20 clinical vignettes to the most likely neuromusculoskeletal diagnosis

Your checkpoint

A self-written 25-item case-based quiz on regional orthopedic and neurologic diagnosis, answered closed-book at 80% or higher

Week 8

General Anatomy & Spinal Anatomy & Physiology & Chemistry & Pathology & Microbiology and Public Health & Physical Diagnosis & Neuromusculoskeletal Diagnosis (regional, orthopedic, neurologic)

  • Re-answer every item from the error logs and justify why the correct answer is correct

  • Complete two full-length timed practice exams under test-day conditions

  • Rank all eight domains by practice-exam score and re-drill the two weakest for two hours each

  • Condense each domain into a single-page high-yield review sheet

Your checkpoint

Two completed full-length practice exams with a final domain-by-domain score sheet and eight one-page review sheets, one per domain

Milestones

Week 2: Recite or write the spinal cord tract map and blood supply from blank paper with no errors on decussation levels

Week 4: Score 70% or higher on the 100-question cumulative exam covering Domains 1-5, with no domain below 65%

Week 6: Complete the mock physical exam rubric at 90% or higher and self-rate microbiology recall at 70% or better on a 40-item rapid quiz

Week 8: Score 75% or higher on both full-length practice exams with no domain below 65%, and hold eight completed one-page review sheets